| Tava Health, Inc | |
|
222 E 7th Ave Salt Lake City UT 84103-2518 | |
| (801) 319-6471 | |
| Not Available |
| Full Name | Tava Health, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 222 E 7th Ave, Salt Lake City, Utah |
| Authorized Official Name and Position | Garth Dallen Allred (CEO) |
| Authorized Official Contact | 8013196471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tava Health, Inc 222 E 7th Ave Salt Lake City UT 84103-2518 Ph: (801) 319-6471 | Tava Health, Inc 222 E 7th Ave Salt Lake City UT 84103-2518 Ph: (801) 319-6471 |
| NPI Number | 1285261016 |
|---|---|
| Provider Enumeration Date | 03/23/2020 |
| Last Update Date | 03/23/2020 |
| Certification Date | 03/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285261016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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